Individual
REBECCA BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20158 CORTEZ BLVD, BROOKSVILLE, FL 34601-3832
(352) 334-0304
Mailing address
1485 S SEMORAN BLVD STE 1448, WINTER PARK, FL 32792-5508
(321) 397-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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